Individual provider Active NPI

Catriona Galloway Keller, PH.D.

  • Clinical Psychologist
  • Mount Vernon, OH
National Provider Identifier
1891854923
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5749 Issued in OH
Practice address
217 E Chestnut St Unit a
Mount Vernon, OH 43050-3466
Phone
(740) 392-4999
Fax
(740) 392-4991
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5749 OH Primary

Addresses

Primary practice location

217 E Chestnut St Unit a
Mount Vernon, OH 43050-3466

Mailing address

217 E Chestnut St Unit a
Mount Vernon, OH 43050-3466
Phone (740) 392-4999

Other names 1

  • Dr. Catriona Galloway Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000415 OH Practitioner - Clinical Psychologist 6800823634 Practice locations: Mount Vernon, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 E Chestnut St
Unit a
Mount Vernon, OH 43050-3466
Phone (740) 392-4999

217 E Chestnut St a
Mount Vernon, OH 43050-3466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5749OHMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1891854923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E CHESTNUT ST UNIT A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503466",
            "telephone_number": "740-392-4999",
            "fax_number": "740-392-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E CHESTNUT ST UNIT A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503466",
            "telephone_number": "740-392-4999",
            "fax_number": "740-392-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "CATRIONA",
        "middle_name": "GALLOWAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATRIONA",
            "last_name": "GALLOWAY",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.